Will fillers along the mandible increase the risk of bone resorption? (Photos)

Question

I discovered I had a mild case of ICR of my right condyle that must've occurred briefly in my early teens during orthodontics. Good news, it's been inactive since then and I'm 29. Will fillers in my affected side potentially increase the risk of resorption? I would love to '"correct" the asymmetry.

Anna Chacon, MD, FAAD · Answer

The use of dermal fillers along the mandible is generally considered safe and is a common procedure to address facial asymmetry and enhance jawline definition. However, understanding the potential risks is important, especially with a history of idiopathic condylar resorption (ICR).

Bone Resorption Risk: Current evidence suggests that dermal fillers do not directly cause bone resorption. Fillers are injected into the soft tissue and are not in contact with the bone itself. Therefore, they are unlikely to exacerbate conditions like ICR directly.

Procedure Considerations: It's essential to ensure that the procedure is performed by a qualified and experienced practitioner, ideally a dermatologist or plastic surgeon familiar with your medical history. They can assess your specific case and determine the best approach to achieve symmetry while minimizing any potential risks.

Monitoring: Continuous monitoring of the jaw area is advisable, especially if there is any history of bone-related issues. Regular follow-ups can help manage any changes that might occur post-procedure.

Alternative Options: If there are concerns about fillers, discussing alternative treatments with your healthcare provider might be beneficial. They can offer options that align with your aesthetic goals and medical history.

By consulting with a specialist, you can make an informed decision about using fillers for mandibular asymmetry, ensuring both safety and desired outcomes.

Will fillers along the mandible increase the risk of bone resorption? (Photos)

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